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Kelsey Park A.f.h.
Nursing Facility/Intermediate Care Facility in Bellevue, Washington
NPI 1215157623

Kelsey Park A.f.h. is a Nursing Facility/Intermediate Care Facility based in Bellevue, WA. Kelsey Park A.f.h. practices in Bellevue, WA. The NPI Number for Kelsey Park A.f.h. is 1215157623 and holds a License No. 36100 (Washington).

The current practice location address for Kelsey Park A.f.h. is 12649 Se 4Th Pl, Bellevue, WA and can be reached out via phone at 425-453-0173 and via fax at 425-453-0969.

Location: 12649 Se 4Th Pl, Bellevue, WA, 98005-3507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215157623
Provider Name
Kelsey Park A.f.h.
Credential
Provider Entity Type
Organization
Address
12649 Se 4Th Pl, Bellevue, WA, 98005-3507
Phone Number
425-453-0173
Fax Number
425-453-0969
Provider Enumeration Date
04/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12649 Se 4Th Pl
City
Bellevue
State
Washington
Zip
98005-3507
Phone Number
425-453-0173
Fax Number
425-453-0969
person
Provider Business Mailing Address Details
Address
12649 Se 4Th Pl
City
Bellevue
State
Washington
Zip
98005-3507
Phone Number
425-453-0173
Fax Number
425-453-0969
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
36100 (Washington)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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